NPI | 1841571718 |
---|---|
Entity Type | Organization |
Authorized Contact | PABLO E PEREZ President 706-277-2321 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD0000045277) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1993) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2011-09-06 |